HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # I '1 1O--i _ lo;, CC ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
• �. ik . Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�Me 'Ft—o c1 � have agreed to be
(Company Name/Individual Name)
the 'Qpdn-CAL Sub -contractor for �7a r�nfcG 020�cock1y'a
(Type of Trade) (Primary Contractor) �J—
For the project located at
(Project Street Address or Property
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIG U E (Qu Iilier)
�W% 1 {'
PRINT NAME
1
CO 2aCF.RTnTCATION NUMRF.R Qp
State of Florida, County n`` C
The foregoing Instrument was signed before me this afstay of
who is personally Imown _or has produced a
as identification.
M+-ANY RENFE UENTON
MY COMMISSION 4 GG 263842
EXPIRES: duly 31, 2022
Bonded Thor Notary Public Underwriters
Revised 11/16/2016
AMP
UB-CONTR CTOR SIGNATURE (Qualifier)
PRINT NA
COUNTY CERTIFICATION NUMBER
State of Florida, County of loelp
L
The foregoing instrument was signed before me this day of
x0,%by
who Is personally known ✓ u
STAMP
T
YD A'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
OSO Site Development and Septic, Inc _ have agreed to be
(Company Name/Individual Name)
the plumbing Sub -contractor for(' Qt R %,eC�tZk ` CCr t1Ra �i�
(Type of Trade) \\ (Primary Contractor) 1
For the project located at aO�3 tA• l VCC(f
(Project Street Address or Property Tax ID 8)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
tiling of a Change of Sub -contractor notice.
C6NTRA aeie S A�
PRINT NAME
M/li
COUNTY CERTIFICATION NUNIBER
State of Florida, County
The foregoing instrument wat signed before me this of
2Q3byL� O� BC -�—
who is personally know". ✓or has produced a
as identification.
'f I TANY RENEE DENTON
MY COMMISSION $ GG 243842
EXPIRES: July 31, 2022
onded Thru Notary Public Underktels
Revised 11110/201e
h .
SU ONTRACTOR SIGNATURE (Qualifier)
Jan -Michael Ortiz
PRINT NAME
COUNTV CFRTIFICATION NUMBER
State of Florida, Counts of
The foregoing instrument was signed before me this.c-4 'day of
.20aahy
who is personally known ha�Kodueed a
as identification.
s`"•"•'"5@�;; TIFFANY RE,NEE DENTON
MYCOMMISSION It GG 2d3842
EXPIRES: July 31, 9022
ylr° °c Bonded Thru No ary Puti c 11 derWrilat,
L-_
STAMP